| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
6,733 |
4,397 |
$264K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,733 |
2,525 |
$116K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,599 |
1,111 |
$78K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,064 |
1,437 |
$55K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,542 |
3,059 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
1,617 |
1,141 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
602 |
400 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,635 |
3,337 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
1,111 |
782 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
197 |
176 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
866 |
650 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
171 |
121 |
$6K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
87 |
63 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
93 |
67 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
359 |
270 |
$1K |
| E0570 |
Nebulizer, with compressor |
428 |
283 |
$1K |